Individual
MRS. TERESITA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2555 GLENCOE FARMS RD, NEW SMYRNA BEACH, FL 32168-9392
(386) 426-7859
(386) 426-7859
Mailing address
PO BOX 1374, EDGEWATER, FL 32132-1374
(386) 426-7859
(386) 426-7859
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 5148900
FL
Other
Enumeration date
10/14/2013
Last updated
10/14/2013
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